Broad anti–SARS-CoV-2 antibody immunity induced by heterologous ChAdOx1/mRNA-1273 vaccination

Author:

Kaku Chengzi I.12ORCID,Champney Elizabeth R.1,Normark Johan3ORCID,Garcia Marina4ORCID,Johnson Carl E.1,Ahlm Clas3ORCID,Christ Wanda4ORCID,Sakharkar Mrunal1ORCID,Ackerman Margaret E.25ORCID,Klingström Jonas4ORCID,Forsell Mattias N. E.3ORCID,Walker Laura M.16ORCID

Affiliation:

1. Adimab, Lebanon, NH 03766, USA.

2. Thayer School of Engineering, Dartmouth College, Hanover, NH 03755, USA.

3. Division of Immunology, Department of Clinical Microbiology, Umeå University, Umeå, Sweden.

4. Centre for Infectious Medicine, Department of Medicine Huddinge, Karolinska Institutet, Stockholm, Sweden.

5. Geisel School of Medicine, Dartmouth College, Hanover, NH 03755, USA.

6. Adagio Therapeutics, Waltham, MA 02451, USA.

Abstract

Heterologous prime-boost immunization strategies have the potential to augment COVID-19 vaccine efficacy. We longitudinally profiled severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) spike (S)–specific serological and memory B cell (MBC) responses in individuals who received either homologous (ChAdOx1:ChAdOx1) or heterologous (ChAdOx1:mRNA-1273) prime-boost vaccination. Heterologous messenger RNA (mRNA) booster immunization induced higher serum neutralizing antibody and MBC responses against SARS-CoV-2 variants of concern (VOCs) compared with that of homologous ChAdOx1 boosting. Specificity mapping of circulating B cells revealed that mRNA-1273 boost immunofocused ChAdOx1-primed responses onto epitopes expressed on prefusion-stabilized S. Monoclonal antibodies isolated from mRNA-1273–boosted participants displayed overall higher binding affinities and increased breadth of reactivity against VOCs relative to those isolated from ChAdOx1-boosted individuals. Overall, the results provide molecular insight into the enhanced quality of the B cell response induced after heterologous mRNA booster vaccination.

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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